<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        <div class="layui-form-item">
            <label class="layui-form-label">用户登录名</label>
            <div class="layui-input-block">
                <input type="text" name="username" class="layui-input" lay-verify="required" placeholder="请输入用户登录名" value="{$row.username}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">用户登录密码</label>
            <div class="layui-input-block">
                <input type="text" name="password" class="layui-input" placeholder="需要修改时才填写,不修改密码不用填写" value="">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">状态</label>
            <div class="layui-input-block">
                <input type="radio" name="status" value="1" lay-filter="demo-radio-filter" title="启用"  {if $row.status eq 1}checked{/if} >
                <input type="radio" name="status" value="0" title="禁用" lay-filter="demo-radio-filter" {if $row.status eq 0}checked{/if} >
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">绑定门店</label>
            <div class="layui-input-block">
                <select name="store_id" lay-verify="required"  id="province" lay-filter="province"  data-select="{:url('jizhan.store/getList')}" data-fields="id,name" data-value="{$row.store_id|default=''}" lay-search="">
                </select>
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">联系手机号</label>
            <div class="layui-input-block">
                <input type="text" name="phone" class="layui-input" placeholder="请输入联系手机号" value="{$row.phone}">
            </div>
        </div>
        <div class="layui-form-item layui-form-text">
            <label class="layui-form-label">备注说明</label>
            <div class="layui-input-block">
                <textarea name="remark" class="layui-textarea" placeholder="请输入备注信息">{$row.remark}</textarea>
            </div>
        </div>

        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>